-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - ▪ Infections cause pain, injury, disability, and sometimes even
death, and can be very expensive … ▪ Cover all cuts and wounds with a dressing. … resident, if needed, that the law requires the use of safety lancets and needles
to prevent needle stick injuries … ▪ Make sure that wounds are covered.
▪ Contain any urine, stool, or wound drainage. … ▪ An LTC facility must have negative pressure rooms and a respiratory fit-test program in order
to
-
pcmh.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - Eventually, they are able to re-establish a normal heart rate, blood pressure, and adequate blood
oxygen … During her procedure, her heart rate, blood pressure, and oxygen level were monitored. … During a part of
the procedure, we became aware that her heart rate, blood pressure, and oxygen level … First off, right now Mary
is stable; her heart rate, blood pressure, and oxygen level are all in normal … We also don’t know right now if she has
suffered any injury from what happened, but we will check her
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-31-facilitating-panel-management.pdf
September 01, 2015 - acute care centers—services rendered to
patients needing urgent medical attention (e.g., infection, injuries … The registry can also identify patients not in control of HbA1c, LDL, or blood
pressure, patients who … Other information may need to be input by someone
in the clinic, for example, blood pressure, weight … The Panel Manager may also have the job to enter
data into the registry (like blood pressures) and to … Which of these patients would you call to schedule a group blood pressure clinic
appointment?
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - number of medications that could cause sedation, confusion, impaired balance, or orthostatic blood pressure … Carefully assess patients for any injuries in a systematic way.
-
pcmh.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … The event review focuses on uncovering latent hazards or contributing factors that increase pressure
-
pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Intrauterine pressure catheter or fetal scalp electrode placement.
Manual rotation. … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management.
-
pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.html
January 01, 2013 - Resources
CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure … Injury
Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI … Or as implementation advances and the new practices become the norm, peer pressure may spur resisters … Hospitals will not be reimbursed by Medicare for hospital-acquired falls with trauma.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - fetal criteria for procedures that increase risk for cord prolapse47
such as—
amniotomy
intrauterine pressure … Effects of shoulder dystocia training on the incidence of brachial plexus injury. … Shoulder dystocia and injuries: prevention and management.
-
pcmh.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - private-public partnerships to: (1) identify the causes of preventable health care errors and patient injury … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli … Education in 2003 and that the long shifts medical interns worked led to 61 percent more needlestick injuries
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-synthesis-report.pdf
July 22, 2015 - post-implementation period.33 The trend applied to
emergency care use overall and to asthma and unintentional injury … Specifically, the percent of PCMH patients hospitalized per
month (overall and for asthma and unintentional injury … Donahue, MD,
MPH
Diabetes • HbA1c <9%
• LDL cholesterol <100
mg/dL
• Blood pressure
<130/80 … ≤130/80 mm Hg
• LDL cholesterol ≤100
mg/dL
Cardiovascular
disease:
• Blood pressure
≤130/80 … Gabbay, MD,
PhD
Diabetes • HbA1c <7%
• Blood pressure
<130/80 mm Hg
• LDL cholesterol <100
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - The term safety refers to reducing
risk from harm and injury, whereas the term quality
suggests striving … Information Form, and Summary of Initial Report Form)
and then applying Common Formats for falls, pressure
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
August 24, 2017 - applied to other quality improvement efforts in a hospital, such as preventing:
Hospital-acquired pressure … injuries.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
January 01, 2023 - 1,000 elective-surgery admissions, age
18 and over
HCUP 2020
Reclosure of postoperative abdominal wound … 2020
Home health care patients whose management of oral
medications improved
OASIS 2021
Birth trauma … stages 2-4
pressure ulcer or unstageable pressure ulcer
MDS 2021
Low-risk, long-stay nursing home … 2020
Home health care patients whose management of oral
medications improved
OASIS 2021
Birth trauma … stages 2-4
pressure ulcer or unstageable pressure ulcer
MDS 2021
Low-risk, long-stay nursing home
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - For example, only
half of people with high blood pressure have it controlled. … High blood pressure costs the Nation $46 billion each year. … mostly attributable to sudden unexpected
infant death (SUID), congenital anomalies, infection, and injury … Web-based Injury Statistics Query and Reporting System (WISQARS)
[Online]. (2013). http://www.cdc.gov … /injury/wisqars/index.html .
-
pcmh.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Wound Care
1. For what types of wounds is chlorhexidine (CHG) application safe? … to avoid causing additional soft tissue
damage or extension of the wound due to pressure against the … #2: Nasal Trauma
Do NOT use mupirocin if nostril(s) are packed. … CHG will not harm occlusive dressing (e.g., wound vacs).
Do NOT use on large or deep wounds … CHG can cause
permanent injury if it comes in direct contact with nerves and is allowed to remain there
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_tools.docx
November 16, 2011 - Monthly falls analysis by:
location and time of fall
shift and day of week
type of injury … consequences of falls
High-risk medications, sleep hygiene measures for management of anxiety
Low blood pressure
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - per 1,000 instrument-assisted deliveries
• Birth trauma - injury to neonate per 1,000 selected live … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Adverse Drug Events
• An adverse drug event (ADE) is an injury—including physical harm, mental harm, … The home health team should regularly change wound dressing and teach the patient about
wound care.